School of Resources and Environmental Engineering, Ludong University, Yantai, 264025, PR China.
School of Resources and Environmental Engineering, Ludong University, Yantai, 264025, PR China.
Public Health. 2023 Jul;220:88-95. doi: 10.1016/j.puhe.2023.04.020. Epub 2023 Jun 7.
COVID-19 has brought challenges to the health of all mankind. It is particularly important to promote the construction of a 'Healthy China' and build a 'healthy community'. The aims of this study were to construct a reasonable conceptual framework for the Healthy City concept and to assess Healthy City construction in China.
This study combined qualitative and quantitative research.
This study proposes the concept model of 'nature-human body-Healthy City' and accordingly constructs an evaluation index system for the construction of a Healthy City that integrates five dimensions, namely, the medical level, economic basis, cultural development, social services, and ecological environment to explore the spatial and temporal heterogeneity of Healthy City construction in China. Finally, the influencing factors of Healthy City construction patterns are explored using GeoDetector.
(1) The pace of Healthy City construction is generally on the rise; (2) the construction of Healthy Cities exhibits significant global spatial autocorrelation and gradually increasing agglomeration. The spatial distribution of cold hotspot areas was relatively stable; (3) medical and health progress is an important factor; the level of economic development is the leading support; the endowment of resources and environment is the basic condition; public service support provides important support; and scientific and technological innovation capabilities provide technical support for the construction of a Healthy City.
The spatial heterogeneity of Healthy City construction in China is evident, and the state of spatial distribution is relatively stable. The spatial pattern of Healthy City construction is shaped by a combination of factors. Our research will provide a scientific basis for promoting the construction of Healthy Cities and helping to implement the Health China Strategy.
新冠疫情给全人类的健康带来了挑战。推进“健康中国”建设，构建“健康社区”尤为重要。本研究旨在构建合理的健康城市概念框架，并评估中国的健康城市建设情况。
本研究采用定性与定量研究相结合的方法。
本研究提出“自然-人体-健康城市”的概念模型，并据此构建了一个包含医疗水平、经济基础、文化发展、社会服务和生态环境五个维度的健康城市建设评价指标体系，以探索中国健康城市建设的时空异质性。最后，利用 GeoDetector 探索健康城市建设模式的影响因素。
（1）健康城市建设步伐总体呈上升趋势；（2）健康城市建设具有显著的全局空间自相关，且集聚程度逐渐增强，冷热点区域的空间分布较为稳定；（3）医疗健康进步是重要因素，经济发展水平是主导支撑，资源环境禀赋是基础条件，公共服务支撑提供重要保障，科技创新能力为健康城市建设提供技术支持。
中国健康城市建设的空间异质性明显，空间分布状态较为稳定，健康城市建设的空间格局是多种因素共同作用的结果。本研究将为推进健康城市建设、助力实施健康中国战略提供科学依据。
